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Insurer must pay case management services provided by a social worker at the social worker rate.
The applicant, who sustained a catastrophic impairment in a motor vehicle accident, claimed statutory accident benefits for case management services provided by a registered social worker.
The insurer argued the services should be paid at the rate set out in the Professional Services Guideline for case management services, rather than the higher rate for registered social workers.
The arbitrator held that in the absence of a specific guideline limiting the fees of social workers acting as case managers, the insurer is obliged to pay the reasonable invoiced rate appropriate to social workers.
The insurer was ordered to pay the outstanding amounts with compound statutory interest.
